Individual
JACQUELINE FAY LANGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
8820 LADUE RD, 303, SAINT LOUIS, MO 63124-2079
(314) 754-3255
(314) 361-6269
Mailing address
8820 LADUE RD, 303, SAINT LOUIS, MO 63124-2079
(314) 754-3255
(314) 361-6269
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
01192
MO
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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